Disponible en Espanol Step 1 of 3 - Volunteer Information 33% Every question must be answered accurately for your application to be considered complete. Name* First Middle Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact*The emergency contact must be 18 years of age or older. First Name Last Name Phone Number Relationship Do you have any current or prior experience as a school volunteer?*YesNoAt which school have you volunteered, and what year?Are you the parent or guardian of a Hartford Public Schools student?*YesNoName, school, and grade of studentsNameSchoolGrade Please specify the students name, school, and grade level. If there is more than one (1), click the (+) to add additional information.Which school(s) are you interested in volunteering at? Adult Education Asian Studies Academy at Bellizzi School Betances Early Reading Lab Magnet Betances STEM Magnet School Breakthrough II Magnet (North) School Breakthrough Magnet (South) School Bulkeley High School Burns Latino Studies Academy Burr School Capital Community College Magnet Capital Preparatory Magnet Classical Magnet Environmental Sciences Magnet at Mary Hooker Expeditionary Learning Academy at Moylan Global Communications Academy Great Path Academy at Manchester Community College Hartford Magnet Trinity College Academy Hartford Pre-K Magnet School High School, Inc. HPHS Academy of Engineering & Green Technology HPHS Law and Government Academy HPHS Nursing Academy Journalism & Media Academy Magnet School Kennelly School Kinsella Magnet School of Performing Arts M.D. Fox School Maria Sanchez Elementary School Martin Luther King, Jr. School McDonough Expeditionary Learning School Milner Elementary School Montessori Magnet at Moylan Montessori Magnet School at Annie Fisher School Naylor School New Visions Parkville Community School Pathways Academy of Technology & Design Rawson School Renzulli Gifted & Talented Academy SAND School Sport & Medical Sciences Academy STEM Magnet School at Annie Fisher University High Magnet Weaver - Culinary Arts Academy Webster MicroSociety Magnet School West Middle School Wish Museum School What area(s) of volunteer work are you interested in? Tutoring –Math Tutoring-Language Arts/Literacy Arts & Crafts Athletics-Coaching Athletics-other School Support Mentoring Field Trips Translator Other (specify below) Other Have you been required to register with a state or federal sex offender registry?*YesNoHave you ever been convicted of a felony?*YesNoHave you ever been convicted of a crime, excluding motor vehicle violations/infractions?*YesNoList all offensesYou answered "YES" to having been convicted of a crime. List all offenses below. Click the (+) to add additional lines if you have more than one (1) offense.OffenseDateCity & State If at any time there are any changes to these responses, you are required to promptly inform the school district. By your signature below: You acknowledge that Hartford Public Schools does not provide insurance coverage for the volunteer for any loss, injuries, illness, or death resulting from the volunteer's unpaid service to Hartford Public Schools. You agree to assume all risk for death or any loss, injury, illness, or damage of any nature or kind, arising out of the volunteer's supervised or unsupervised service to Hartford Public Schools, or its officers, Board of Education Members, employees, agents or assigns, for loss due to death, injury, illness, or damage of any kind arising out of the volunteer's supervised or unsupervised service to the Hartford Public Schools. You consent to a criminal background investigation. Date* Full Name of Volunteer*Date of Birth of Volunteer* Initials of Volunteer*Your initials serve as your signature and you hereby agree to all provisions and requirements of this application.